摘要
目的探讨哮喘控制测试(ACT)与肺功能检测在儿童哮喘管理中的应用价值。方法对67例哮喘患儿急性发作期和缓解期(42例)进行ACT评分、记录肺功能指标的最大呼气流速峰值(PEF)、用力呼气25%肺活量时流速(PEF25)、用力呼气50%肺活量时流速(PEF50)、用力呼气75%肺活量时流速(PEF75)。结果急性发作期ACT测试评分<10分、10～19分、>20分者分别为37.31%、62.69%和0,缓解期分别为0、9.52%、90.48%。急性发作期肺功能各指标均异常,PEF25、PEF50、PEF75与PEF异常情况比较差异均有统计学意义(P<0.05);缓解期肺功能各指标重度异常全部缓解,但PEF25、PEF50、PEF75与PEF异常情况比较差异均有统计学意义(P<0.05);ACT评分与肺功能PEF各异常率比较差异无统计学意义(P>0.05),与PEF50比较差异有统计学意义(P<0.05)。结论ACT测试简便易行,可作为门诊筛查哮喘是否控制的检测手段,肺功能检测中的小气道指标是评估哮喘控制程度、指导正确用药的主要依据。
Objective To study the value of clinical application of Asthma Control Test（ACT）and pulmonary function test（PFT）in children patients with asthma.Methods Totally 67 asthmatic children at the acute episode and remission stage were given ACT score and PET including maximal expiratory flow（PEF）,maximal expiratory flow at 25%,50%,75% of vital capacity（PEF25,PEF50,PEF75）.Results The percentages of asthmatic children whose ACT scores10,10-19,and 20 were 37.31%,62.69% and 0 respectively at the acute episode stage;and 0,9.52% and 90.48% respectively at the remission stage.All indexes of PFT were abnormal at the acute episode,and the severities of PEF25,PEF50,PEF75 were higher than that of PEF（P0.05）.At remission stage,all indexes of severe abnormalities were all remittent,but the abnormalities of PEF25,PEF50,PEF75 were still higher than that of PEF（P0.05）.Conclusion Conclusions ACT is easy and practical.It may serve in clinic as a means to screen whether a child＇s asthma is controlled or not.The indexes of small airway in PFT are the main basis to assess the controlling degree of asthma and guide medication.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第4期384-385,共2页
Chinese General Practice
关键词
哮喘
肺功能
哮喘控制测试
儿童
Asthma
Pulmonary function
Asthma control test
Child
